Insulin

Insulin

 doesn’t cover these:

  • Insulin (unless use of an insulin pump is )
  • Insulin pens
  • Syringes
  • Needles
  • Alcohol swabs
  • Gauze
How often is it covered?
Your costs in Original Medicare

You pay 100% for insulin (unless used with an insulin pump, then you pay 20% of the 

, and the Part B 

 applies). You pay 100% for syringes and needles, unless you have 

Note

To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:

  • Other insurance you may have
  • How much your doctor charges
  • Whether your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service
Things to know

Part D may cover these:

  • Insulin
  • Certain medical supplies used to inject insulin, like syringes, gauze, and alcohol swabs

However, if you use an external insulin pump, insulin and the pump may be covered as durable medical equipment (DME) under Part B. If you live in certain areas of the country, you may have to use specific pump suppliers for Medicare to pay for an insulin pump.

Note

Some Medicare Advantage Plans (Part C) offer extra benefits that Original Medicare doesn’t cover - like vision, hearing, or dental. Contact the plan for more information.

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